15-104011Electrical
t ` City of Federal Way '
Community &'Econ. Dev. Services Permit #: 15 -104011 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253)835-2607 Fax: (253) 835-2609 VW
J
Project Name: HERITAGE CONDOMINIUMS
Project Address: 103 S 340TH ST Unit E Parcel Number: 325945 0850
Project Description: Change out 100 amp panel.
Owner
Applicant
Contractor
GLENDON J LUCAS
M S E ELECTRIC
M S E ELECTRIC
103 S 340TH ST
PO BOX 13327
MSEELE" 874L8 (7/2/17)
FEDERAL WAY WA 98003
DES MOINES WA 98198
PO BOX 13327
DES MOINES WA 98198
Additional Permit Information
Is this an Online of O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures'
Alt. Serv./Feeder: 0 to 200 amps (1\ 1
PERMIT EXPIRES Saturday, February 6, 2016
Permit Issued on Monday, August 10, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: AL
CITY OF - y
Federal Way
PERMIT #:
THIS CARD IS TO RE ON-SITE - -
Construction Insp ion Record
INSPECTION REQUESTS: (253) 835-3050
15 -104011 -00 -EL Address: 103 S 340TH ST Unit E
Project: GLENDON J LUCAS FEDERAL WAY, WA 98003-6614
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
❑
UFER Ground (4295)
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date q._ja _ 1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
f RECEIVED
AUG 10 2015
CITY OF FEDERAL WAY
CDS
s
ELECTRICAL
PERMIT NUMBER --1-5_ —/-a
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SITE ADDRESS: % Z���
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SUITE/UNIT/SPACE #
PROJECT VALU//ATION
OV$
ASSESSOR'S TAX/PARCEL #
-2 is
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
/
l i O t17 JO0 S
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
( a Vt G
PROPERTY OWNER
NAME
PRIMARY PHONE
(ZO) 9.38- 3 7y 3
MAILING ADDRESS r� hr
E-MAIL
CITY
STATE
ZIP
FAX
-
ELECTRICAL
CONTRACTOR
NAME ��
PRIMARY PHONE
MAILING ADDRESS
I2327
E-MAIL
CITY
STATE
ZIP
FAX
WA Q/TATE CONTRACTOR' (LLICENSE /# /yy EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME f
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PRIMARY PHONE
6) �30
MAILIN ADDRESS
fO lex
E-MAIL
CITj�j/� IDO o
Y
STATE
ZIP�
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) FAX
PROJECT CONTACT
NAME
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PRIMARYPHONE
) 3 a 0-37 y
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with Iocal, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE:
PRINT NAME:
"PW
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Bulletin # 160 -January 1, 2013 Pagel of 2 k:\3andouts\Electrical Permit Application